Organization Active NPI

Doris Antos DC PL

  • Chiropractor
  • Daytona Beach, FL
National Provider Identifier
1295055499
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
DORIS ANTOS DC PL
Practice address
569 Health Blvd
Suite C
Daytona Beach, FL 32114-1498
Phone
(386) 258-9800
NPI assigned
Jun 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Doris Antos, DCNPI 1043530249
Title
Owner
Phone
(386) 258-9800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

569 Health Blvd
Suite C
Daytona Beach, FL 32114-1498

Mailing address

569 Health Blvd
Suite C
Daytona Beach, FL 32114-1498
Phone (386) 258-9800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100910001128 FL Part B Supplier - Clinic/Group Practice 9638294846 Receives reassigned benefits from 2 practitioners
Practice locations: Daytona Beach, FL

National Provider Directory

National Provider Directory

Locations

569 Health Blvd
Ste C
Daytona Beach, FL 32114
Phone (386) 258-9800

569 Health Blvd
Ste Bc
Daytona Beach, FL 32114

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283990400000",
    "number": "1295055499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "569 HEALTH BLVD",
            "address_2": "SUITE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141498",
            "telephone_number": "386-258-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "569 HEALTH BLVD",
            "address_2": "SUITE C",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321141498",
            "telephone_number": "386-258-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DORIS ANTOS DC PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-10",
        "last_updated": "2010-09-09",
        "status": "A",
        "authorized_official_last_name": "ANTOS",
        "authorized_official_first_name": "DORIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-258-9800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.